ALAN J ATHA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001282

License Status

INACTIVE

Business

First Name

ALAN J

Last Name

ATHA

Business Name

ALAN J ATHA

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/04/2005